Çocuklar da Diş Tedavileri (Pedodonti)

Çocuklar da Diş Tedavileri (Pedodonti)


Why is Pedodontics Important?

Pedodonti Neden Önemlidir?In children, teeth damaged as a result of accidents or trauma must be intervened immediately. Establishing the correct diagnosis is of utmost importance. To establish the right diagnosis, your dentist will ask you questions such as when and where the accident took place, which direction the impact came from, if fainting, vomiting, memory loss, etc. has occurred after the accident. The most suitable treatment will later be performed in light of the information provided.

Dental traumatisation in children may sometimes result in permanent teeth to be completely removed from alveolus. In such cases, you must immediately consult your dentist, bringing with you the tooth that has fallen out. Meanwhile, the teeth should be preserved in a glass of milk or clean water.

Oral care for infants. Nourishment of infants with breast milk for at least the first four months will result in the normal development of the soft tissue surrounding the mouth and the related muscle functions. Nursing bottles with physiological nozzles must be used to feed infants in cases where breast milk is insufficient.

Infants should be oriented so they are accustomed to feeding with glasses and spoons from the age of one.

Feeding with bottles should only continue up to age 2. Habits such as thumb sucking, using pacifiers may be allowed until the ages of 2 – 2,5. If a habit of thumb sucking is present, its reasons must be researched and the habit must be overcome by the ages of 3 – 6.

Breathing problems may have adverse effects on the development of the jaw bone. An otolaryngologist must be consulted in cases where respiration is conducted only through the mouth instead of the nose (this can be better ascertained during sleep).

Teeth must begin to be cleaned when the infant is 6-8 months old (when the first teeth appear). Wetting a clean cheesecloth or a gauze bandage and wiping the teeth (at least the chewing surfaces) after breakfast and before going to bed at night should be sufficient.

It is suitable to begin using toothbrushes when the children's posterior teeth have erupted (approximately 2,5 - 3 years of age).

It is very hard to make pre-school children implement a special technique when brushing their teeth. At this age, the most important thing is for children to acquire a habit of brushing their teeth. When children brush their teeth, they usually brush the areas that are visible and easily accessible. However, it is important to clean the chewing surfaces and surfaces in between the teeth more thoroughly in order to avoid tooth decay. This is why we recommend that parents supervise their performance after they have brushed their teeth.

Tooth brushes suitable for the size of children's oral cavities, produced from soft nylon bristles should be used to brush children's teeth. Brushes having hard bristles are not suitable to be used by children as they will abrade their teeth. Just as how we cannot sweep efficiently with an old broom, teeth cannot be brushed with old, worn down brushes. Toothbrushes must be replaced once the bristles have been worn down or bent (approximately 6 months).

Brushing teeth efficiently for 3 minutes after breakfast and before going to bed is sufficient. Like all good habits, the habit of brushing teeth is gained during childhood.

Various oral and dental problems that children encounter:

Tooth Grinding:
Stress, aggressive, obsessive or self-conscious personalities. Children whose parents have a habit of grinding teeth are more prone to developing tooth grinding habits.
Abrasion of teeth, grinding noise heard during sleep, aching facial muscles, problems in the joints of jawbones, headaches, shaking and sensitive teeth.
First of all, psychological factors that result in tooth grinding are tried to be eliminated. If this yields no success, a removable night guard is produced for the patient to wear during sleep.
Thumb Sucking:
Thumb sucking is a habit encountered frequently at small ages. It usually vanishes by itself until the age of four. Persistence of the habit during the period when permanent teeth start to erupt may cause structural deformities in these teeth and the jaw bone. The reason for these deformities is the force of pressure exerted by the thumb to the front teeth and the palate. The amount of deformation that occurs is dependent on the amount of time spent sucking the thumb, its frequency, intensity and the position of the thumb during the process.

The most effective method of eliminating thumb sucking is having the children get accustomed to pacifiers. The damage caused by pacifiers is both relatively much less and is easier to give up as a habit.

The timing of the treatment is of utmost importance. Unless the child itself wants to break loose from the habit, it is impossible for the treatment to yield successful results.

It is psychologically beneficial for children to overcome their habit of thumb sucking before they attend school so they are not subjected to environmental pressure or ridiculed.

Children should be guided by encouragement and rewards without being put under any pressure.

If despite all the efforts, the habit cannot be overcome by the age of 6, professional help must be sought by consulting a dentist.

For infants, the act of sucking is the most natural way to relax and feel safe. If infants have a tendency of sucking their thumbs, they must immediately be motivated to suck on pacifiers. Pacifiers are far less harmful than thumb sucking and they are easier to give up in later years.

Infants should not be given pacifiers throughout a large portion of the day. Instead, they should be given only when necessary. In order to prevent structural damage, pacifiers should be chosen that possess as similar qualities to natural breasts as possible. The structural integrity of the pacifiers should be checked each day. The size of the pacifiers must be suitable for the structures of the mouth of the infants that use them.

Bottle-feeding Cavities

My baby's teeth have decayed as soon as they erupted. What could be the reason?

In some cases, brown stains are sometimes observed on babies' teeth and sometimes these teeth break and fall off. In reality, these stains are cavities and such teeth break as a result of decaying. The reason why teeth may decay at such an early stage may be what is referred to as bottle-feeding cavities. The predominant nutrients used for the nourishment of infants is breast milk or cows milk and these nutrients both contain sugar in their natural composition.

When infants are breast fed before they go to sleep or suck on feeding-bottles as they go to sleep, milk accumulates in the mouth and creates an environment that is suitable for bacteria to rot their teeth. For this reason, care must be taken to clean teeth especially after feeding of infants at night.